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Workforce Needs in Veterinary Medicine

The veterinary medical profession faces several challenges in coming years, including maintaining the economic sustainability of veterinary practice and education, building its scholarly foundation, and evolving to meet changing societal needs, this report finds. In recent years, the dominant focus of the profession has shifted from farm animal health to companion animal care, and concerns are growing that this emphasis is directing resources away from veterinary medicines other, equally important roles in basic research, public service, food production, and other sectors, resulting in a workforce that may be insufficient to address priorities for protecting and advancing animal and human health. the basic veterinary expertise they need. Meanwhile, since the economic downturn that began in 2007, veterinary schools have lost tens of millions of dollars in public financial support and have Credit: iStockphoto/Catherine Yeulet had to increase class sizes and the transfer of additional tuition costs to students. New veterinary school graduates are carrying educational debt that cannot be serviced practically with the salaries that they can command. These changes have brought the veterinary medical profession to a critical juncture. Academe is struggling to balance the multiple goals with limited resources. As a result, leaders in veterinary medicine have raised concerns about the health of the profession, the future of its graduates, and the strength of its schools and colleges.

ver the past 50 years, veterinary medicine has expanded from its roots in agriculture to make contributions in biomedical research, stem cell biology, gene therapy, vaccines, food safety, pet medications, the care of free-ranging wildlife in a host of different ecosystems, and many other activities that have benefited from veterinary expertise. Now, the stressors of the 21st centurychanges in foodanimal production, soaring human populations, global warming, invasions of exotic species, and outbreaks of infectious diseasemeans the field of veterinary science must evolve further to meet new goals for protecting animal and human health. However, the profession is facing a time of economic and other challenges. For many years, the numbers of U.S. veterinary schools and students have been matched to U.S. needs, but in the last two decades, reports of difficulties in obtaining veterinary services have emerged from several sectors, including in rural food-animal production, biomedical science, private industry, and even companion animal practice. A mismatch between societys needs and the available talent has begun to plague the veterinary medical workforce: some employers seeking veterinarians with advanced training cannot find them, and other employers cannot provide salaries high enough to support

Current Trends in the Veterinary Medicine Workforce

Today, more than 50 percent of veterinarians are companion-animal practitionersveterinarians who take care of petsbut projections about the future growth of companion-animal practice are uncertain. Some studies show that expenditures on pets are closely linked to household incomes, which although strained in the current economic

The veterinary medicine workforce consists of about 92,000 professionals, a workforce one-tenth the size of the human medical profession. There are 28 U.S. veterinary schools and colleges that produce about 2500 graduates with the degree of Doctor of Veterinary Medicine (DVM) each year.

recession, are likely to rebound. However, the recent accreditation of additional schools outside the United States will increase the supply of companion-animal veterinarians and could place downward pressure on salaries if the demand for pet services does not increase over time. Veterinarians in the companion-animal sector are increasingly pursuing specialized training in fields such as surgery, oncology, and orthopedic medicine, due to growing demand for specialized services, the potential for higher earnings, and intellectual interest in specialty fields. The requirements for specialty certification are set by independent Boards, which often require faculty advisers and two to four years of training. However, most veterinary schools do not have additional manpower to support that training, so specialty training draws resources away from the central obligation of veterinary schools to educate entry-level Doctors of Veterinary Medicine (DVMs). Furthermore, as veterinary school curricula have focused increasingly on companion animal care, subjects such as infectious diseases, public health, and environmental toxicologywhich are important for careers in industry or public practicehave received less emphasis. The trend for a narrower spectrum of veterinary training threatens the professions ability to maintain robust research programs and develop high-quality scientific investigators who can lead the cross-disciplinary and inter-professional studies that will advance basic veterinary knowledge in all sectors of the profession, including progress in companionanimal medicine. If veterinary colleges are to be successful in meeting all of societys demands, they need a clearer picture of the demand for companionanimal services in particular, and to find a way to support training in companion-animal specialties. Finding realistic strategies for meeting companionanimal veterinary medical workforce needs will require the collaboration of the Association of American Veterinary Medical Colleges, American Animal Hospital Association, and American Veterinary Medical Association. Building such a strategy requires reliable national data on consumer demand for companion-animal care, the economics of private practice, the role of veterinary technicians in extending companion-animal care, and the implications for the profession of growth in

accredited and non-accredited veterinary schools both inside and outside the United States. Addressing current concerns will require that veterinary academe increase its commitment to research, developing future faculty, and encouraging current faculty to work across disciplinary and professional boundaries. The Association of American Veterinary Medical Colleges is wellpositioned to take on this challenge.

Supply and Demand in the Veterinary Medical Workforce

The reports authoring committee investigated the supply and demand of veterinarians in the various sectors of veterinary medicine. Although there are no widespread shortages of veterinarians overall, some sectors are struggling to find enough wellqualified candidates, even when offering high salaries. For example, the industrial sector is facing a shortage of candidates with advanced training in topics such as biochemistry, toxicology, or pathology; and veterinary colleges are in need of research faculty with the grant-writing skills to leverage funding for their programs. The committee concluded that opportunities for highly trained veterinarians in industry and research are growing, with a clear shortage in the supply of qualified applicants to fill these jobs. These shortages could be addressed by mentoring veterinary students and finding support to train future veterinarians to meet the requirements for these positions. In other sectors, for example veterinary practice in many rural areas, veterinary expertise salaries are too low to attract applicants despite needs. Here, appropriately-paid employment opportunities could be created by rethinking how veterinary services are provided. For example, a practice could employ several veterinary technicians under the supervision of one veterinarian to expand veterinary care (see Box 1). The public sector has unfilled positions for veterinarians who have specialized training in epidemiology, food safety, wildlife and ecosystem health, and public health. Jobs in these fields typically offer salaries much lower than those in the private sector, and so cannot attract the top candidates. However, public-sector veterinarians are essential for maintaining the safety of foods of animal origin and controlling diseases of wildlife and livestock. An insufficient workforce of public-practice veterinarians places at risk the health of American citizens, the well-being of the nations food-animal industry, and the health of U.S. wildlife resources and the U.S. economy.

Box 1. Rethinking Veterinary Services in Rural Areas

Although demand for veterinary care in food-animal practice is generally declining, primary veterinary services are still needed in rural areas. Often, these communities cannot financially support positions for full-time food animal veterinarians. The reduced number of rural food-animal veterinarians leaves gaps in animal care and raises concerns about the level of animal disease surveillance in the field, which is critical for the prompt detection of animal disease outbreaks such as H5N1 avian influenza. Here, the expanded use of veterinary technicians under the supervision of veterinarians could serve as an alternative for conventional veterinary medicine.

The veterinary profession should formulate new ways of delivering cost- effective services to rural America, using veterinary technicians to extend animal health services to underserved areas.

Public and Private Support for Veterinary Education and Training

Since the economic downturn of 2007, there has been a precipitous decline in state support for faculty positions and tuition support in veterinary academe. This has resulted in reduced hiring, layoffs, and the elimination of whole programs from veterinary schools. As noted earlier, it is becoming increasingly difficult for veterinary schools to support the education of DVMs, let alone post-DVM specialty and graduate research training. Veterinary schools and colleges could share facilities and offer distance education and webinars to expand class offerings and reduce the cost of a veterinary education. Tuition fees for veterinary education have risen sharply. Although starting salaries in private veterinary practice increased by 148 percent beyond inflation from 1987 to 2007, mean debt increased by 285 percent in the same period (see Figure 1), and the financial return on investment in veterinary education is below that in other medical professions such as pharmacy, dentistry. This could lead to a decline in the quality of applicants to veterinary school. The veterinary medicine profession will need to convince the public of the value of funding veterinary medicine training in state and federal budgets, and could also look for alternative sources of revenue to support veterinary education. To stimulate the collective actions needed to ensure economic sustainability of veterinary colleges, practices, and students, professional veterinary organizations, academe, industry, and government

Industry veterinary workforce shortages can be addressed by deeper partnerships between academe and industrial employers of veterinarians. Academe should more actively seek industry biomedical research partnerships, student mentoring, and opportunities in the curriculum to expose students to corporate practice. To meet the need for positions for veterinarians in public practice, the committee urges state and federal governments to re-examine their policies on remuneration, recruitment, and retention of veterinarians.

Food-Animal Veterinary Care

Population growth and increasing consumption of animal products such as milk, meat, and eggs has changed food production in the United States and has also altered demand for veterinary services in the care of livestock, poultry and swine. Overall, the number of livestock farms nationwide has decreased, and food-animal production has been consolidated to fewer but much larger farms. The role of veterinary professionals in food-animal 140,000 practice has changed from providing care to individual animals on small farms to main120,000 taining the health of animal herds, overseeing 100,000 environmental stewardship efforts, and 80,000 increasing farm productivity and income. 60,000 To increase the economic value of veteri40,000 nary services to producers, the education 20,000 of food-animal practitioners should be 0 reoriented towards herd health and inter2006 2007 2008 2009 2010 2011 ventions aimed at improving the financial Year health of the farm operation. Veterinary Food animal Companion animal Equine Student Debt schools and colleges should work together to achieve this goal by creating centers of Figure 1. Student debt and mean starting salary for new DVM graduates. emphasis on food-animal medicine.
Annual Salary ($)

Data Source: AVMA Market Statistics, 2006-2011

will need to work together with a sense of urgency. A national committee or consortium should be jointly supported to bring together initiatives that focus on the economic sustainability of the profession in all sectors of service, education, and research. As part of a comprehensive strategy to address the economic sustainability of the veterinary profession, the working groups appointed by the consortium should create nationally shared curricula. U.S. veterinary colleges should evaluate and implement alternative options for the delivery of veterinary education and research.

One Health Initiative

Veterinarians are becoming increasingly involved in addressing issues of ecosystem and wildlife health, and this trend can be expected to continue to grow. The need for veterinarians to be involved in the challenge of global food security also is expanding. With global population rising and becoming more urban, demands for animal products such as meat, milk and eggs are growing rapidly, putting stress on agricultural systems and increasing populations of food animals. The veterinary profession can make systems more sustainable by making livestock and poultry production more efficient, preventing and

controlling outbreaks of infectious diseases, and developing ways to protect the environment by recycling waste. One strategy to better understand and address health issues that affect humans, animals, and the environment is the concept of One Health, a holistic concept of health that recognizes the complex linkages between humans, wild and domestic animals, and their ecosystems. This initiative that calls for the collaboration of multiple disciplines, including veterinarians, physicians, ecologists and conservation biologists, on local, national and global scales. Veterinary medical organizations and the deans of veterinary colleges should work to increase the visibility, standing, and potential of the profession to address global food security. Establishing a One Health think tank with the goal of advancing food-animal husbandry and welfare policies, ecosystem health standards, and the capacity of the veterinary profession in the developing world would help future generations of veterinarians to collaborate across professions, disciplines and cultures. A part of this body should also consider the necessary competencies required of U.S. veterinary graduates to address the global challenges of food and water safety and security, and the health of wildlife and ecosystems.

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Committee to Assess the Current and Future Workforce Needs in Veterinary Medicine: Alan M. Kelly (Chair), University of Pennsylvania School of Veterinary Medicine, Philadelphia (Emeritus); Sheila W. Allen, University of Georgia, Athens; Val R. Beasley, University of Illinois at Urbana-Champaign; Bonnie Buntain, University of Calgary Veterinary Medicine, Alberta, Canada; Henry E. Childers, Cranston Animal Hospital, Rhode Island; Gary Cockerell, Cockerell Alliances, Grand Junction, Colorado; Harold Davis, Amgen, Covington, Georgia (Retired); James G. Fox* (IOM), Massachusetts Institute of Technology; Malcolm Getz, Vanderbilt University; Tracey S. McNamara, Western University of Health Sciences, Pomona, California; Gay Y. Miller, University of Illinois at Urbana-Champaign; Bennie I. Osburn, University of California, Davis; Mark V. Pauly (IOM), Wharton School of University of Pennsylvania; Fred W. Quimby, The Rockefeller University, New York (Retired); Willie M. Reed*, Purdue University; John A. Shadduck, Shadduck Consulting LLC, Denton, Texas; Michael A. Stoto, Georgetown University; Stephen F. Sutherland, Pfizer Animal Health, Kalamazoo, Michigan; Robin A. Schoen (Director, Board on Agriculture and Natural ResourcesBANR), Peter Henderson (Director, Board on Higher Education and WorkforceBEHW), Jim Voytuk (Senior Program Officer, BEHW), Camilla Yandoc Ables (Program Officer, BANR), Peggy Tsai (Program Officer, BANR), Janet M. Mulligan (Research Associate, BANR), Kara Murphy (Program Assistant, BEHW), National Research Council.
IOM member, Institute of Medicine; *through February 2008; through October 2007; through March 2008

The National Academies appointed the above committee of experts to address the specific task requested by the Association of American Veterinary Medical Colleges, American Veterinary Association, American Animal Hospital Association, Bayer Animal Health, and Burroughs Welcome Fund. The members volunteered their time for this activity; their report is peer-reviewed and the final product signed off by both the committee members and the National Academies. This report brief was prepared by the National Research Council based on the committees report. For more information, contact the Board on Agriculture and Natural Resources at (202) 334-3062 or visit Copies of Workforce Needs in Veterinary Medicine are available from the National Academies Press, 500 Fifth Street, NW, Washington, D.C. 20001; (800) 624-6242;

Permission granted to reproduce this brief in its entirety with no additions or alterations. Permission for images/figures must be obtained from their original source. 2012 The National Academy of Sciences